LIVE LOVE LAKE SENIOR LIVING – NPI #1417746645
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

LIVE LOVE LAKE SENIOR LIVING is a community based residential treatment facility located in SHEFFIELD LAKE, OH. NPPES has assigned the NPI number 1417746645 to LIVE LOVE LAKE SENIOR LIVING on May 05, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVE LOVE LAKE SENIOR LIVING below.

NPI Profile for
LIVE LOVE LAKE SENIOR LIVING

NPI Number
1417746645
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVE LOVE LAKE SENIOR LIVING
Primary location
4855 EAST LAKE ROAD
SHEFFIELD LAKE, OH 44054
Phone: (440) 315-5553 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLY WILMS
OWNER
Phone: (440) 315-5553
Updated
Certification Date
May 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.